| NPI | 1487217493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00561600) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC006921) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-06-11 |